MARY ELLEN TENNIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064914

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

TENNIS

Business Name

MARY ELLEN TENNIS

Original Issue Date

02/20/1976

Effective Date

02/20/1976

Expiration Date

01/01/1997

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2005